The study investigated an organized semantic fluency task, (the Controlled Animal Fluency Task - CAFT) as a measure of executive functioning (EF) in adults, and the relationship with instrumental activities of daily living (IADL). Participants (N = 266) consisted of a clinical sample (n = 142) utilizing neuropsychological assessment data collected at an outpatient psychological center, and a community sample (n = 124). The clinical sample was a heterogeneous mixed neurological group including a variety of health conditions and comorbid anxiety and depression. The CAFT Animals by Size demonstrated a significant positive correlation with Category Fluency (r = .71, n = 142, p < .001) , Animal Fluency (r = .70, n = 142, p < .001), and with other, established neuropsychological measures. The CAFT Animals by Size condition demonstrated a significant moderate negative correlation with IADL for the sample as a whole (r = -.46, n = 248, p < .001), and for the clinical sample (r = -.38, n = 129, p < .001), but not for the community sample. In a hierarchical regression analysis, CAFT Animal by Size explained additional variance in IADL (&#916;R2 = .15). In a hierarchical regression analysis predicting IADL with the control variables entered first, followed by Category Fluency, with CAFT Animal by Size entered last, CAFT Animals by Size did not make a significant additional contribution. A stepwise forward regression indicated Category Fluency, education, and Category Switching are better predictors of IADL than CAFT Animals by Size. Normative data for the CAFT were calculated separately for age groups and education levels. Simple logistic regression indicated CAFT Animal by Size was a significant predictor of clinical or community group membership. A second logistic regression analysis indicated the CAFT Animal by Size condition improved the prediction of membership in the clinical versus the community group, compared to the MMSE alone. Applications of the CAFT are discussed.

Submitted by Nadir Basilio (nadirsb@uninove.br) on 2016-05-24T19:40:59Z No. of bitstreams: 1 Carina Silveira Mariano Nunes.pdf: 797183 bytes, checksum: 9e449a0364075a44c5f95faf739146f3 (MD5) / Made available in DSpace on 2016-05-24T19:40:59Z (GMT). No. of bitstreams: 1 Carina Silveira Mariano Nunes.pdf: 797183 bytes, checksum: 9e449a0364075a44c5f95faf739146f3 (MD5) Previous issue date: 2014-12-15 / Introduction: Physiological responses during activities of daily living (ADLs) have never been studied in adult patients with bronchiectasis (BCT). Aim: To compare the metabolic and ventilatory demands, gas exchange and perception of effort during five ADLs between adults with BCT and healthy subjects. Methods: Thirty-nine subjects [27 women; FEV1 61 ± 26, %pred, MRC 3 (2 – 3)] and twenty healthy subjects (14 women) performed the following five ADL: (1) putting on socks, shoes, and vest, (2) putting away different weights on a rack, (3) sweeping a floor, (4) carrying weight while walking (5Kg), and (5) climbing stairs during a minute. Activities 2, 3, and 4 were performed by five minutes. Pulmonary gas exchange was measured during all ADLs. Results: Patients used a higher proportion of metabolic and ventilatory demands, and had a higher perception of effort when compared with healthy subjects. The distance walked in ADL4 was similar between groups; however patients climbed lower number of steps than control group. Conclusions: Patients with BCT have high metabolic and ventilatory demands, with a higher perception of effort to perform simple daily activities when compared to healthy subjects. / Introdução: As respostas fisiológicas durante atividades de vida diária (AVD) nunca foram estudadas em pacientes adultos com bronquiectasia (BCQ). Objetivo: Comparar as respostas cardiopulmonares, metabólicas, de trocas gasosas e de percepção de esforço durante atividades de vida diária entre pacientes com bronquiectasia e indivíduos saudáveis. Método: 39 pacientes [27 mulheres; VEF1 61 ± 26 %prev; MRC 3 (2 – 3)] e 20 indivíduos saudáveis (14 mulheres) realizaram as seguintes AVD: (1) vestir um par de meias e um par de sapatos sentado em uma cadeira e vestir uma camisa em pé; (2) colocar pesos de 0,5 Kg, 1 Kg, 2 Kg, 3 Kg, 4 Kg e 5 Kg em uma prateleira ao nível da cabeça e depois retornar os mesmos ao nível da cintura; (3) varrer o chão; (4) caminhar carregando 5Kg divididos em duas sacolas; e (5) subir escadas durante um minuto. As atividades 2, 3 e 4 foram realizadas durante cinco minutos. As variáveis metabólicas e ventilatórias foram registradas durante todas as AVD. Resultados: Os pacientes com BCQ tiveram maior demanda metabólica e ventilatória e maior percepção de esforço durante todas AVD quando comparados ao grupo controle (p < 0,05). A distância percorrida na AVD4 não diferiu entre os grupos, mas os pacientes realizaram menor número de degraus na AVD5 em relação ao grupo controle. Análise intra-grupo (BCQ) demonstrou aumento progressivo (p < 0,05) no VO2, VE/VVM e percepção do esforço da AVD1 até a AVD5. Conclusão: Pacientes com BCQ utilizam elevada proporção da capacidade aeróbia e ventilatória máxima para realizarem atividades simples do dia a dia e com maior percepção de esforço (dispneia e fadiga) quando comparados a indivíduos saudáveis.

Objective: The transition to long-term care (LTC) of older adults receiving home care services is preceded by declining functional independence with basic and instrumental activities of daily living (ADL and IADL, respectively). These individual, and group, level time-dependent changes occur within unique provincial and regional policy contexts across Canada, which determine the amount and types of services received by home care recipients during this transition period. It is currently unknown whether activities of daily living (ADL) or IADL (instrumental activities of daily living) exhibit accelerated decline preceding transition to LTC, and if so, whether the onset and rate of decline differs for ADL versus IADL. This dissertation sets out to determine whether such change points exist within longitudinal data gathered from home care recipients in Ontario during the years of 2008 to 2015. Methods: A profile likelihood method was employed to identify the best fitting change points at which the slopes of functional decline in ADL and IADL for those who transition to LTC from home care services depart from the normative age slope of those who remain in community. Data analyzed was collected at approximately 6-month intervals using the International Residential Assessment Instrument – Home Care (RAI-HC) in Ontario, Canada, and was obtained from the Canadian Institutes for Health Information (CIHI) for the period of 2006-2015. A policy review was conducted to determine whether changes had occurred to the amount or type of home care services provided during the data collection period, and subsequently data from 2008 to 2015 were retained. IADL was measured using the 21-point IADL Involvement Scale and ADL was measured using the 28-point ADL Long Form. Best fitting change point models were first identified for ADL and IADL scores in the full sample of participants who remained in community and those who transitioned to LTC and within subgroups stratified by sex. Two additional subgroups were also examined: 1) participants without a primary or secondary caregiver living in the home, and 2) participants with a primary caregiver living in the home. Each caregiver group was also stratified by sex, resulting in a total of 9 groups in which IADL and ADL change points were estimated and compared. Results: In all groups who remained in community with home care services, age-related decline in IADL and ADL were observed. Further, IADL impairment was higher at the time of first assessment and had a greater age-related slope than ADL for those who remained in community. Both measures had discernable change points preceding discharge to LTC and the change point for IADL preceded that of ADL in all groups. Across groups, the change point for ADL had a range of 0.5 years before LTC discharge for men without a primary or secondary caregiver living in the home to 2 years for women with a primary caregiver in the home. IADL change points ranged from 2.5 years before LTC discharge for men with a primary caregiver in the home to 3.6 years for women without a primary or secondary caregiver in the home. Within the full sample, including both men and women, the onset of accelerated IADL decline for those discharged to LTC preceded the onset of home care service by 1.49 years and the time of first assessment by 1.84 years. Women in the full sample, and in both caregiver groups, experienced an earlier IADL change point relative to the availability of home care services and assessment when compared to men. Conclusions: Both IADL and ADL have discernible change points for in the years preceding discharge from home care to LTC. The change point for IADL consistently precedes that of ADL for the entire sample, for those with or without a caregiver in the home and for both men and women. The onset of accelerated IADL decline in the presence of age normative ADL decline may be an early indicator of pending transition from home care to LTC for home care recipients identified in this study. The province of Ontario has committed to providing the right care, at the right time in the right place. This study demonstrates that home care policy in Ontario during this study period, which does not provide for IADL services until after patients first qualify for ADL services, may not be achieving the provinces commitment of ensuring IADL care is provided at the right time for recipients of home care services. Opportunities for early identification and intervention may be available through early monitoring of, and intervention with, IADL function. A stepped care model holds promise for early identification and intervention of IADL impairment in community living older adults. Future research will help to confirm if accelerating decline in IADL function in the absence of appropriate rehabilitation and support services may hasten the onset of accelerated ADL impairment and subsequent admission to LTC. / Graduate / 2022-12-16

Bakgrund: Stroke är en vanlig sjukdom och ökar bland personer som är yngre än 65 år. Sjukdomen orsakar en del förändringar vilket gör att patienterna måste anpassa sig till sitt nya liv. Denna anpassning kan de inte göra själva utan är i behov av hjälp av vården. Personalen behöver en uppfattning om hur de kan hjälpa till stroke patienter och behöver därför en insyn i deras liv post-stroke. Syfte: Syftet med denna studie var att beskriva hur personer i arbetsför ålder upplever att deras dagliga liv förändras efter en stroke. Metod: En litteraturbaserad metod användes med grund i kvalitativ forskning. Resultat: Ur analysen av datamaterialet framträdde tre kategorier; förändrad roll; känslomässiga konsekvenser och förändring av dagliga aktiviteter och sex underkategorier. Konklusion: När personer i arbetsför ålder drabbas av stroke blir det en helomvändning av livet. Fysiska nedsättningar och hinder som uppstår leder till ett livslidande. Självständigheten förloras samtidigt som behov och stöd av andra ökar. En situation uppstår där hjälp behövs från vården. / Background: Stroke is a common disease and is increasing among people younger than 65. The disease causes some changes which means that patients have to adapt to their new life. They cannot make this adjustment themselves, but are in need of help from the healthcare system. The staff needs an understanding of how they can help stroke patients and therefore need an insight into their life post-stroke. Objective: The purpose of this study was to describe how people of working age feel that their daily lives change after stroke. Method: A literature-based study with qualitative research. Result: The analysis of the data material emerged three categories; a changed role; emotional experiences and change of daily activities and six subcategories. Conclusion: When people of working age suffer from stroke, it becomes a complete reversal of live. Physical impairments and obstacles that arise lead to a life-threatening illness. Independence is lost while the needs and support of others increase. A situation emerges where they need help from the health-care.

No description available.

Syftet med studien var att sammanställa arbetsterapeutiska interventioner vid palliativ vård samt beskriva arbetsterapeutens erfarenheter av dem. Metod: En litteratursökning gjordes i databaserna PubMed och Cinahl. Efter sammanställning av interventionerna gjordes en kvalitativ innehållsanalys för att identifiera arbetsterapeuternas erfarenheter. Resultat: Utifrån analysen från studierna identifierades följande fem grupper av interventioner: Kompensatoriska åtgärder, Möjliggöra ADL, Förebyggande åtgärder genom handledning och utbildning, Aktivitet som symtomhantering och Aktivitetsbaserade åtgärder. Tre kategorier med underkategorier identifierades utifrån den kvalitativa innehållsanalysen: Utgå från klientens behov (ha förståelse för klientens situation, ta hänsyn till klientens värderingar), Se betydelsen av att utföra aktiviteter (möjliggöra fortsatt delaktighet och samhörighet med andra, använda aktivitet som symtomhantering) och Hantera begränsningar och möjligheter (vara flexibel, ha ett välfungerande team). Konklusion: Arbetsterapeuten har en betydande roll inom det palliativa teamet. Behov av ökad kunskap om arbetsterapeutens roll behövs för att underlätta teamarbetet som är en viktig del inom den palliativa vården. / The aim of the study was to gather occupational therapy interventions in palliative care and describe the occupational therapist's experiences of them. Method: A literature search was performed in the databases PubMed and Cinahl. After compiling the interventions, a qualitative content analysis was performed to identify the occupational therapists' experiences. Results: The interventions were divided into the following five categories:Compensatory measures, Enabling ADL, Preventive measures through guiding and training, Activity as symptom management and Activity-based measures. Three categories with subcategories were identified based on the qualitative content analysis: Meet the client's needs (have an understanding of the client's situation, consider the client's values), See the importance of performing activities (enable continued participation and belonging to others, use activity as symptom management) and Managing constraints and opportunities (be flexible, have a well-functioning team). Conclusion: The occupational therapist has an important role within the palliative care team. The need for increased knowledge of the occupational therapist's role is needed to facilitate teamwork, which is an important part of palliative care.

<p>Students who have disabilities often face many difficulties throughout their lives and are not always given the same opportunities to learn important daily living skills as their peers. Most research in this area does not account for the need to teach daily living skills to students with mild disabilities, and instead is focused on teaching these skills to students with severe disabilities. In this study, the methods for teaching daily living skills are examined and skills that should be taught to middle school students with mild disabilities are discovered. Key findings from this study indicate that there are many daily living skills that are not being taught to students with mild disabilities, teachers do not often have the time to teach these skills, and there is a lack of resources for teaching daily living skills to middle school students with mild disabilities. The handbook created from this study aims to fill part of the gap by sharing suitable methods for teaching daily living skills and providing a checklist of daily living skills to teach to the students.</p>

No description available.

No description available.

The overall purpose of the study was the identification of factors which influence the freedom of physically disabled people, within South African society, to make choices that will enable them to conduct their daily lives independently. Qualitative research methods (observation and semi-structured interviews) were utilised to explore the problem from the disabled person's perspective. In total there were ten participants, sampling being purposive and opportunistic. The study was essentially narrative, with the results analysed and grouped thematically. Factors influencing independence related to the individual's functioning, as well as the social environment and the study's setting in Mitchells Plain, Cape Town. The relative strength of each factor varied at any one time for a given subject, and between the respondents. Overall there was strong agreement amongst participants and with the literature. Recommendations made related to future research, student training and occupational therapy practise.